Skip to main content

Table 4 Symptom unbearability in the domains of loss of function, personal aspects, environment, nature and prognosis of disease in patients with and without an explicit request for euthanasia (n = 60; for patients with administered SOS-V)*

From: Unbearable suffering and requests for euthanasia prospectively studied in end-of-life cancer patients in primary care

 

Symptom present

Symptom unbearable

EAS request

No EAS request

p-value**

All patients

 

%(n)

(n = 17)

%(n)

(n = 43)

%(n)

(n = 60)

%(n)

Domain II: Loss of function

     

Impaired routine daily activities

83 (50)

53 (9)

56 (24)

0.995

55 (33)

Impaired leisure activities

82 (49)

65 (11)

44 (19)

0.252

50 (30)

Help needed with housekeeping

71 (42)

65 (11)

33 (14)

0.040**

42 (25)

Bedridden

56 (33)

29 (5)

33 (14)

0.996

32 (19)

Help needed with self-care

60 (36)

35 (6)

16 (7)

0,192

22 (13)

Impaired working capacity

17 (10)

6 (1)

14 (6)

0.661

12 (7)

Impaired sexuality

14 (8)

0 (0)

7 (3)

0.551

5 (3)

Domain III: Personal aspects

     

Feeling dependent on others

80 (48)

47 (8)

44 (19)

0.995

45 (27)

Not able to do things you consider important

63 (36)

35 (6)

42 (18)

0.773

42 (24)

Trouble accepting the present situation

60 (36)

41 (7)

30 (13)

0.545

33 (20)

Loss of control over your own life

30 (18)

18 (3)

30 (13)

0.518

27 (16)

Negative thoughts or worrying

32 (19)

6 (1)

19 (8)

0.423

15 (9)

Feeling a nuisance to others

38 (23)

24 (4)

9 (4)

0.206

13 (8)

Hopelessness

28 (17)

24 (4)

9 (4)

0.206

13 (8)

Feeling not any longer being the same person

28 (17)

0 (0)

14 (6)

0.170

10 (6)

Feelings of worthlessness

22 (13)

12 (2)

9 (4)

0.995

10 (6)

Feeling lonely (intrapersonal)

20 (12)

6 (1)

16 (7)

0.420

10 (6)

Experienced little happiness with family/friends

22 (13)

12 (2)

7 (3)

0.616

8 (5)

Feeling of no longer being important to others

18 (11)

12 (2)

7 (3)

0.616

8 (5)

Feeling tired of life

17 (10)

12 (2)

7 (3)

0.996

9 (5)

Not satisfied with own self

12 (7)

6 (1)

7 (3)

0.995

7 (4)

Feelings of guilt

12 (7)

6 (1)

5 (2)

0.490

5 (3)

Lived a life with little purpose

8 (5)

6 (1)

2 (1)

0.997

3 (2)

Experienced little success in life

10 (6)

0 (0)

2 (1)

0.236

2 (1)

Domain IV: Environment

     

Relatives consider your suffering too severe

33 (19)

24 (4)

12 (5)

0..995

16 (9)

Practical loneliness (isolation, no one present for you)

15 (9)

12 (2)

12 (5)

0.995

12 (7)

Insufficient availability of care

12 (7)

12 (2)

7 (3)

0.616

8 (5)

Unsatisfactory social contacts

8 (5)

6 (1)

2 (1)

0.491

3 (2)

Insufficient support (family, relatives)

5 (3)

0 (0)

2 (1)

0.490

2 (1)

Shame

2 (1)

0 (0)

2 (1)

0.490

2 (1)

Domain V: Nature and prognosis of disease

     

Fear of future suffering

40 (24)

24 (4)

14 (6)

0.453

17 (10)

Fear of future failing strength to bear suffering

25 (15)

6 (1)

12 (5)

0.662

10 (6)

  1. The SOS-V was missing in four patients.
  2. Scoring: 1-not at all; 2-slightly; 3-moderately; 4-seriously; 5-very seriously, hardly could be worse.
  3. Suffering bearable: scores 1–3 ; Suffering unbearable: scores 4,5.
  4. Rounded percentages and absolute numbers.
  5. *0 to 3 missing observations per symptom. Impaired working capacity applied for 10 persons (with work).
  6. **Fisher’s exact tests.